Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC RANDALL DEJONG, AGACNP
ActiveERIC RANDALL DEJONG, AGACNP is a Gerontological Nurse Practitioner healthcare provider located in HOLLAND, Michigan. NPI 1629619903 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · HOLLAND, MI
Registration Details
- NPI Number
- 1629619903
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 8, 2019 (6.8086910986571 yrs)
- Last Updated
- Oct 14, 2022
- License
-
4704295254 (MI)
Practice Information
- Address
-
602 MICHIGAN AVE STE 102HOLLAND, MI, 494234918Browse MI providers · Browse ZIP 49423
- Phone
- 6164948724
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in HOLLAND, MI
| Name | Credential | NPI |
|---|---|---|
| BROOKE RENEE MCKINNEY | NP | 1144746686 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.